Summary for Test 2018-01-16-10-1

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 210618
DEA: 06342534
EFIS: 0600000382
COOP: 061616A2
DIST-CO-RTE-PM06-FRE-180-R74.1/R78.6
Award Date04/05/2017
Closeout Date07/06/2021
Work DescriptionCONSTRUCT SEGMENT 3 OF KINGS CANYON EXPRESSWAY
Location DescriptionFRESNO COUNTY ABOUT 8.4 MILES EAST OF FRESNO FROM 0.7 MILE WEST OF SMITH AVENUE TO 0.7 MILE EAST OF FRANKWOOD AVENUE
QA Service Level1 (Verified on 07/10/2017)

Sample Information

Sample Taken Date01/16/2018 Sample Unique Key10
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing01/26/2018
Sample typeAnnual Source Testing A brief description of the sampleFine Aggregate
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byM Last name of sampler or witnessed byShirvani
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification18-0007 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameVulcan Sanger Transportation Laboratory (TL) NumberC813403C
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-10-0010::CALMAT/SANGER
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile @ Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set
HMA PayNo

Test Details

DIME Sample ID: 2018-01-16-10
DIME Test ID: 2018-01-16-10-1
Testing Lab: CT HQ - Sacramento Aggregate Testing Laboratory
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2018-02-14

Test Results


Input Type: Calculated
Tester's full name: Phillip Montes
Date of test: 02/14/2018
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 2/14/2018